Organization
BALANCED CARE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK G O'DONNELL M. D. (OWNER)
(217) 492-2000
Entity
Organization
Contact information
Practice address
1945 S SPRING ST, SPRINGFIELD, IL 62704-3943
(217) 492-2000
(217) 492-2005
Mailing address
1945 S SPRING ST, SPRINGFIELD, IL 62704-3943
(217) 492-2000
(217) 492-2005
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108929
—
IL
Enumeration date
02/18/2009
Last updated
02/18/2009
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